CEO Insight: Healthcare Trends to Watch
The healthcare payer landscape changes almost daily and it can be hard to see the forest through the proverbial trees. It’s easy to get focused on the day to day and miss important trends that may have significant impact down the road. As we look to the future, it’s important to keep these key trends […]
Southern California MSO using AI to increase claims processing productivity
While many businesses are still looking for ways to harness new technology, Southern California Physicians Managed Care Services (SCPMCS) has been leveraging artificial intelligence to increase the productivity of their claims team since 2009. Using HCIM’s SymKey® solution, SCPMCS has been able to automate both routine and on-the-fly claims processing workflows for the past nine […]
How to Automate the Reprocessing of Medicare FFS Claims Due to the Bipartisan Budget Act of 2018
Healthcare payer organizations that use the Medicare fee schedule must begin reprocessing claims as of last week. Due to provisions in the Bipartisan Budget Act of 2018 that was passed on Feb. 9, CMS issued Change Request 10531 directing payers and Medicare Administrative Contractors (MACs) to reprocess FFS claims relating to Medicare Extenders (the Medicare […]
The Business of Bots: The SymKey® Effect
HCIM has been in the business of bots for over 15 years, operating exclusively in the healthcare claims industry. Our passion has always been to optimize processes through Robotic Artificial Intelligence. SymKey® automates manual repetitive claim actions while at the same time thoughtfully applying business rules and ensuring quality claim payment. Clients enjoy the fast turnaround times, […]
There’s No Shortage of AI Specialists Here
A recent Ernst & Young study revealed that a shortage of artificial intelligence experts is impeding the ability of companies to adopt the technology. In fact, over half of the executives surveyed claimed the lack of available talent prevented them from integrating AI into their business operations. This directly impacts their competitive advantage in streamlining […]
Healthcare Executives Use AI to Reduce Administrative Burden
According to the following MCOL infographic, 23% of the healthcare executives that were surveyed stated that the greatest opportunity provided by Artificial Intelligence (AI) is that it reduces their administrative burden. SymKey® clients have been using AI to automate their healthcare claims processing since 2002. Robotic Process Automation (RPA) allows payers to process more claims […]
Never Stop Innovating: Using AI in Your Claim Process
If your claims process hasn’t changed in years, it may be time for an upgrade. From your auto-adjudication rate to your claims turnaround times and everything in between, there’s always room for improvement. Claim quality is integral to your bottom line and to maintaining provider satisfaction. HCIM is a pioneer in claims artificial intelligence. As […]
Are You Still Processing Claims by Hand?
Processing your claims manually is like washing laundry by hand. Sure, it works. But why would you do it manually when you can use a machine to do the same work both faster and more accurately? SymKey® can handle your boring, mundane work, because I’m sure you have better things to do! Just load your […]
Clients Love Using SymKey to Increase their Auto-Adjudication
We all know that SymKey® users love how their robotic claims automation tool increases their productivity, improves turnaround times, and reduces errors. We firmly believe that no claims department should be without SymKey®. But when’s the last time you bought something without reading customer reviews? Listen to what our clients have to say: “SymKey’s an asset to […]
The Top 5 Ways to Protect your Organization from a Cyber Attack
Cybersecurity is no longer just a vague warning issued by your IT department. Security breaches seem to be everyday occurrences and far-reaching criminal attacks are a very real concern in our personal and professional lives. For those of us in the healthcare industry, this is a particularly heinous threat that must be taken seriously. According […]